Abstract
IMPACT OF PATIENT COUNSELLING IN IMPROVING MEDICATION COMPLIANCE AMONG DIABETIC PATIENTS

Dr. Sabyata Gautam*, Rojina Basnet and Dr. Balmukunda Regmi

ABSTRACT

The main aim of the study was to find the impact of pharmacist’s counselling in improving medication adherence among diabetic patients in Kathmandu valley. Data collection was done from Jan 2017 till June 2018. In our descriptive cum exploratory study, of total 321 diabetic patients, the mean age was 57.5 ± 12.47years. MARS and MARS-5 scoring models were used to measure compliance before and after counselling. MARS had ten questions with total score of 10 and MARS-5 contained five questions with total score of 25. MARS-5 scoring after counseling had mean value of 24.06 ± 1.54, which was 23.17 ± 2.40 before counselling (P ≤ 0.000). Similarly, the study found the mean values of 8.21 ± 1.24, before counselling and 9.03 ± 0.89, after counselling, while using MARS questionnaire (P ≤ 0.000). Notable improvement in patient’s blood sugar levels (F, PP and Hb1Ac) too were also observed after counselling. Thus, counselling from pharmacist is effective in improving the compliance among diabetic patients. Since most of the patients, with reference to the self, admitted that lack of knowledge regarding disease management is the major reason for non-adherence, counselling or awareness programs are much in need.

Keywords: Diabetic, Counselling, Compliance, MARS.


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